Form Approved OMB
	Approval No. 0920-xxxx Expiration
	Date: xx/xx/xxxx 
Plans describe public health roles and responsibilities related to mass care within congregate sites (e.g., shelters):
a. Food safety (select lead, support, or no role)
b. Water safety (select lead, support, or no role)
c. Facility sanitation (select lead, support, or no role)
d. Climate monitoring (select lead, support, or no role)
e. Waste management (select lead, support, or no role)
f. Health care services (select lead, support, or no role)
g. Mental/behavioral health services (select lead, support, or no role)
Plans or process for accommodating populations with access and functional needs (AFN) at congregate locations
Plans describe the process for conducting human health surveillance at congregate locations
	 
		Public reporting burden of
		this collection of information is estimated to average 315
		minutes per
		response, including the time for reviewing instructions, searching
		existing data sources, gathering and maintaining the data needed,
		and completing and reviewing the collection of information. An
		agency may not conduct or sponsor, and a person is not required to
		respond to a collection of information unless it displays a
		currently valid OMB control number. Send comments regarding this
		burden estimate or any other aspect of this collection of
		information, including suggestions for reducing this burden to
		CDC/ATSDR Information Collection Review Office, 1600 Clifton Road
		NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-xxxx).   
	
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| Author | Garcia, Albert (CDC/DDPHSIS/CPR/OD) | 
| File Modified | 0000-00-00 | 
| File Created | 2022-03-21 |